# OCCUPATIONAL PERFORMANCE AND REHAB, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689746216
- **Authorized official:** DR. VERLINDA HENSHAW OTD, MS, OTR/L (OWNER)
- **Authorized official phone:** (618) 993-6237

## Contact information

- **Practice address:** 3905 W ERNESTINE DR, SUITE B, MARION, IL 62959-5800
- **Practice address phone:** (618) 993-6237
- **Practice address fax:** (618) 997-3529
- **Mailing address:** 3905 W ERNESTINE DR, SUITE B, MARION, IL 62959-5800
- **Mailing address phone:** (618) 993-6237
- **Mailing address fax:** (618) 997-3529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070001021 | IL | — |
| 225100000X | Physical Therapist | 070013687 | IL | — |
| 225100000X | Physical Therapist | 070015812 | IL | — |
| 225X00000X | Occupational Therapist | 056.003255 | IL | Yes |
| 225X00000X | Occupational Therapist | 056006919 | IL | — |
| 225X00000X | Occupational Therapist | 056006921 | IL | — |
| 225X00000X | Occupational Therapist | 056007020 | IL | — |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 07/19/2011
